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Free CIIP Practice Questions

10 free, exam-style Certified Imaging Informatics Professional (CIIP) (CIIP) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CIIP practice test to study every exam domain.

The CIIP exam has 170 questions and runs 2 hours 50 minutes.

These 10 free CIIP questions are organized by exam domain, so you can see how each part of the Certified Imaging Informatics Professional (CIIP) blueprint is tested. Reveal the answer and explanation under each question.

Domain 6: Image Management 18% of exam

Question 1

During a trauma resuscitation, a CT is acquired under a temporary identity ("Trauma Doe") before the patient is registered in the HIS. Once the true identity is known, the images must be linked to the correct patient record. Which IHE profile is designed to handle this reconciliation?

  1. Scheduled Workflow (SWF)
  2. Consistent Presentation of Images (CPI)
  3. Patient Information Reconciliation (PIR)
  4. Cross-Enterprise Document Sharing for Imaging (XDS-I)
Show answer & explanation

Correct answer: C - Patient Information Reconciliation (PIR)

Question 2

A health system replaces its PACS every several years and wants to avoid a costly, high-risk data migration each time it changes the viewing application. Which architectural approach BEST achieves this goal?

  1. Extending the online retention period so studies stay immediately available on fast storage for longer
  2. Deploying a vendor neutral archive (VNA) that stores data in standard formats independent of the viewer
  3. Applying lossless compression to all studies before archiving to shrink the migration footprint
  4. Adding a second PACS from a different vendor to run in parallel for redundancy and failover
Show answer & explanation

Correct answer: B - Deploying a vendor neutral archive (VNA) that stores data in standard formats independent of the viewer

Question 3

A modality sends images to the archive and then automatically deletes its local copies to free space. To ensure images are NOT deleted until the archive has accepted long-term responsibility for them, which DICOM mechanism must be in place?

  1. Modality Performed Procedure Step (MPPS)
  2. Modality Worklist (MWL)
  3. Storage Commitment
  4. Instance Availability Notification
Show answer & explanation

Correct answer: C - Storage Commitment

Domain 7: Information Technology 12% of exam

Question 4

Two hospitals within the same health system are on separate subnets. A modality on one subnet cannot establish a DICOM association with a PACS on the other, although both devices respond to a ping. A firewall sits between the subnets. Which is the MOST likely cause?

  1. DNS is failing to resolve the PACS hostname to an IP address
  2. The DICOM port (e.g., 104 or 11112) is not open through the firewall
  3. The two subnets are using different transfer syntaxes
  4. The modality's AE title is longer than 16 characters
Show answer & explanation

Correct answer: B - The DICOM port (e.g., 104 or 11112) is not open through the firewall

Domain 8: Systems Management 15% of exam

Question 5

An imaging department's leadership states that after a disaster, the PACS may lose no more than 15 minutes of previously acquired image data. This 15-minute limit is a statement of the department's:

  1. Recovery Time Objective (RTO)
  2. Service Level Agreement (SLA) uptime
  3. Mean Time Between Failures (MTBF)
  4. Recovery Point Objective (RPO)
Show answer & explanation

Correct answer: D - Recovery Point Objective (RPO)

Question 6

An imaging informatics manager must estimate annual archive growth. The department performs 60,000 CT examinations per year, and the average CT study is 300 MB. Ignoring compression and other modalities, approximately how much storage will CT alone consume in one year?

  1. About 1.8 TB
  2. About 180 GB
  3. About 18 TB
  4. About 180 TB
Show answer & explanation

Correct answer: C - About 18 TB

Domain 9: Clinical Engineering 10% of exam

Question 7

A facility wants its diagnostic reading monitors calibrated so that equal changes in stored pixel value produce equal changes in PERCEIVED brightness across the full range of the display. Which standard defines this perceptually linear relationship?

  1. AAPM TG18 acceptance-testing criteria
  2. The DICOM Grayscale Standard Display Function (GSDF)
  3. The DICOM Modality Worklist information model
  4. The ACR-AAPM-SIIM technical standard for teleradiology
Show answer & explanation

Correct answer: B - The DICOM Grayscale Standard Display Function (GSDF)

Domain 10: Medical Imaging Informatics 14% of exam

Question 8

A new CT scanner successfully verifies connectivity to the PACS, but every study it sends is rejected by the archive. A technologist confirms the AE title, IP address, and port are all correct. Which configuration mismatch is the MOST likely cause?

  1. The scanner and PACS do not share a common transfer syntax for the CT Storage SOP Class
  2. The PACS has not been configured to act as the Modality Worklist SCP that provides scheduled orders to the scanner
  3. The scanner's periodic C-ECHO verification request is being silently dropped by the hospital's perimeter firewall
  4. The PACS has not yet returned a storage commitment confirmation for the incoming CT studies
Show answer & explanation

Correct answer: A - The scanner and PACS do not share a common transfer syntax for the CT Storage SOP Class

Question 9

A radiologist at a satellite clinic requests that a prior study stored on the main hospital PACS be sent to the clinic's own workstation. The PACS receives the request and then opens a NEW connection to the clinic workstation to deliver the images. Which DICOM service was used?

  1. C-GET, because the retrieved images travel back over the very same association that carried the request
  2. C-MOVE, because the archive initiates a separate association to the destination
  3. C-FIND, because the request first identifies the specific prior study that must be transferred
  4. C-STORE, because the clinic workstation is the entity that ultimately receives the stored image objects
Show answer & explanation

Correct answer: B - C-MOVE, because the archive initiates a separate association to the destination

Question 10

An interface analyst is troubleshooting why radiology orders are not attaching to the correct patient in the PACS. The HL7 order messages arrive intact, but images and orders fail to merge. Which HL7 v2 segment and field should the analyst examine FIRST as the most common point of failure?

  1. The PID segment, specifically the patient identifier list (PID-3 / MRN)
  2. The MSH segment, specifically the message type and trigger event field (MSH-9), which routes the message
  3. The OBX segment, specifically the observation value field (OBX-5) carrying the encoded result
  4. The PV1 segment, specifically the assigned patient location field (PV1-3) used for the visit
Show answer & explanation

Correct answer: A - The PID segment, specifically the patient identifier list (PID-3 / MRN)

The rest of the CIIP blueprint

The CIIP exam also covers these domains. Drill them in the full free practice test:

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